Application for Humanitarian Funding

Application for Funding Form

William J. Spence ICD Memorial Foundation

2019 Application Form for Funding

The Foundation
The William J. Spence ICD Memorial Foundation is the humanitarian arm of the Canadian Section of the International College of Dentists. The Foundation is governed by a Board of Directors, which is appointed by the Board of Regents of the Canadian Section. Funding for the Foundation is obtained from its benefactors, and from the annual charitable donations received from the Fellows of the Canadian Section. As a consequence, the financial amount of humanitarian support that the Foundation provides varies from year to year.

The Purpose
The sole purpose of the Foundation is to provide financial assistance to projects whose goal is to achieve a demonstrable improvement in the oral health of a targeted population, either through the delivery of dental care and/or the provision of dental education. To comply with the humanitarian ideals of the Foundation, all projects requesting funding must be sponsored by a “not-for-profit” charity entity registered with the Charities Directorate of the Canada Revenue Agency

The Support
Eligible projects may receive whole or partial funding which must only be used for the purchase of dental equipment and supplies.

The Process
Applications for funding must be typed, include the CC&RA Registration Number of the sponsoring organization, and be received by the Registrar of the Canadian Section and the President of the Board of the Foundation on or before January 5th, 2019. Late or incomplete applications will be deferred to the competition in the following year.
Following a critical review of each application, the Board of Directors of the W. J. Spence Memorial ICD Foundation recommends the level to which eligible projects should be fund-ed. An electronic distribution and approval of recommendations for funding will be done and approval for action by the ICD Canada Board of Regents by March 2019. The results of these deliberations will be communicated shortly thereafter to all applicants.

PART B:

List any additional sources of funding, and the amount that has been confirmed

Provide the starting date and completion date of the project*

Provide a detailed budget for the project indicating the total funding required*

Indicate the amount of funding requested from the ICD Foundation*

List any other individuals who will be participating in the project

PART C:

If this application is successful, I/we agree to submit to the Canadian Section of the International College of Dentists (within 60 days of completion of the project), a written report of the funded project, accompanied by photographs (preferably digital photos submitted electronically).

I/we agree that the report will include specific information to the greatest extent possible and include details such as: specific location of the project, number of patients seen, number of specific treatments performed, and any other pertinent information.

I/we agree that the report will indicate how the project was able to meet the objectives outlined in the application for Foundation funding.
I/we agree that the information contained in this application is to the best of my/our knowledge to be true and accurate.

I/we agree that the International College of Dentists may publish articles and/or photographs regarding the project in any of their official publications or other publications that may be approved by the ICD Canadian Section.